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NUR 436 Final Exam Questions with Complete Answers $15.49   Add to cart

Exam (elaborations)

NUR 436 Final Exam Questions with Complete Answers

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NUR 436 Final Exam Questions with Complete Answers

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  • November 7, 2024
  • 15
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NUR 436
  • NUR 436
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NUR 436 Final Exam Questions with
Complete Answers
Pediatric vital signs - Answer-Infant: 100-180, 75-160, 30-60, <70
Toddler: 100-150, 65-150, 24-40, <70 +2A
Preschool: 60-150, 60-90, 22-34, <70 + 2A
School-age: 60-110, 60-90, 18-30, <70 +2A
Pre-teen: 50-110, 50-90, 12-16, <90

Rule of nines for adults - Answer-Head: 9%
Chest front and back: 36%
Arms: 9% ea.
Legs: 18% ea.
Groin: 1%

Rule of nines for children - Answer-Head: 18%
Chest front and back: 36%
Arms: 9% ea.
Legs: 14% ea.

What is crepitus (chest tubes)? - Answer-Bubbling/crackling felt near chest tube
insertion site

What would NOT be a good sign in a chest tube container? - Answer-Continuous
bubbling

What is a pneumothorax? - Answer-Air leaking into the space between the lungs and
chest wall

What is a hemothorax? - Answer-Blood leaking into the space between the lungs and
the chest wall

What is the role of the nurse in preparing for blood transfusions? - Answer-Know what is
ordered
Labs
Consent
Know how to administer
Know transfusion reactions

What does a type and screen investigate? - Answer-Patient blood type and RH antigens

How long are type and screen results good for? - Answer-72 hours

What reduces the possibility of a blood transfusion reaction? - Answer-Type and screen

, What does a type and crossmatch ensure and how? - Answer-Compatibility by mixing
patient serum with donor RH

What kind of blood products will be cross-matched? - Answer-Those containing RBCs

Supplies needed for a blood draw - Answer-Lab tubes
Labels
Clean gloves
Alcohol
Vacutainer
Saline
5ml syringes
Tourniquet

Steps for a PIV lab draw - Answer-Stop IVF / disconnect tubing
Apply tourniquet
Clean IV site
Flush with saline
Clean IV site
Connect 5 ml syringe
Pull back 3ml
Clean IV site
Connect new 5 ml syringe
Pull back 1 ml
Remove tourniquet
Flush site with saline

Why should you fill the blood filter with saline first? - Answer-So as not to lyse blood
cells

How fast should you give blood for the first 15 minutes? - Answer-30 ml/hour

What should you do before a blood transfusion? - Answer-Vitals
Assess IV patency

What can blood products pose a severe risk for? - Answer-Extravasation

What can blood products be infused with? - Answer-Normal saline ONLY

How often should vitals be taken before/after blood transfusions? - Answer-Before
getting blood from bank
Before transfusion
5 minutes after start
15 minutes after start
30 minutes after start

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